Evidence map›Paper›PMID 30876487›Full record

ArticleGynecologic oncology2019

Targeted composite value-based endpoints in platinum-sensitive recurrent ovarian cancer.

Jonathan R Foote, Angeles Alvarez Secord, Margaret I Liang, Jessie A Ehrisman, David E Cohn, Elizabeth Jewell, Laura J Havrilesky

Open access · greenAbstract read
In one paragraph

Article in Gynecologic oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 43% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Homologous Recombination Abnormalities Associated WithBreast cancer : basic and clinical research · 2023
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Jonathan R FooteDuke University Medical Center, Durham, NC, USA. Electronic address: Jonathan_Foote@bshsi.org.
Angeles Alvarez SecordDuke University Medical Center, Durham, NC, USA.
Margaret I LiangUniversity of Alabama at Birmingham, Birmingham, AL, USA.
Jessie A EhrismanDuke University Medical Center, Durham, NC, USA.
David E CohnThe Ohio State University, James Cancer Hospital, Columbus, OH, USA.
Elizabeth JewellMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Laura J HavrileskyDuke University Medical Center, Durham, NC, USA.
Duke Medical Center · USMemorial Sloan Kettering Cancer Center · USThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · USUniversity of Alabama at Birmingham · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

objectivesFDA-approved treatments for platinum-sensitive recurrent ovarian cancer (PSROC) include bevacizumab and PARP inhibitors (PARPi); clinical decisions regarding therapy must be made prior to initiating chemotherapy. Using the American Society of Clinical Oncology (ASCO) and European Society of Medical Oncology (ESMO) value frameworks, we assessed relative values of concurrent/maintenance biologic therapies in PSROC.

methodsValue scores were calculated for key maintenance therapies based on randomized controlled trials: bevacizumab (OCEANS, GOG 213); olaparib (Study 19, SOLO2); niraparib (NOVA); rucaparib (ARIEL3). Personalized value scorecards were constructed for patients with germline/somatic-BRCA mutations, homologous recombination deficiency (HRD), and wild-type BRCA (wBRCA). ASCO value scores assess clinical benefit, toxicity, long-term survival, symptom palliation, treatment-free interval, and quality of life (QOL). ESMO value scores assess clinical benefit, toxicity, and QOL.

resultsASCO scores were highest for maintenance PARPi in germline/somatic-BRCA mutation cohorts: olaparib (SOLO2) = 47, (Study 19) = 62; niraparib = 50; rucaparib = 54. HRD cohorts had slightly lower scores: niraparib = 46; rucaparib = 37. wBRCA cohorts had the lowest scores: niraparib = 26; rucaparib = 26; and olaparib (Study 19) = 32, as did patients receiving bevacizumab (OCEANS) = 35, (GOG 213) = 26. ESMO scores demonstrated high-value for maintenance PARPi in germline/somatic-BRCA mutation cohorts and low-value for bevacizumab and PARPi in wBRCA cohorts.

conclusionsThe value of maintenance PARPi therapy depends heavily on BRCA status, with the highest value scores in germline/somatic-BRCA mutation cohorts. Personalized value scorecards provide a visual aid to assess the harm-benefit balance of maintenance PARPi for PSROC.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBevacizumabFemaleGenes, BRCA1Genes, BRCA2Germ-Line MutationHumansIndazolesIndolesMaintenance ChemotherapyMolecular Targeted TherapyNeoplasm Recurrence, LocalOrganoplatinum CompoundsOvarian NeoplasmsPhthalazinesPiperazinesBevacizumabIndazolesIndolesniraparibolaparibOrganoplatinum CompoundsPhthalazinesPiperazinesPiperidinesPoly(ADP-ribose) Polymerase InhibitorsrucaparibBevacizumabMaintenanceOvarianPARPiPlatinum-sensitiveValue

Identifiers

PMID30876487
PMCPMC7522787
OpenAlexW2921230287

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.